Volume 13 - Vol.13, (Special Issue)
irje 2018, 13 - Vol.13, (Special Issue): 98-109 |
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Dehnavieh R, Haghdoost A, Majdzadeh S, Noorihekmat S, Ravaghi H, Mehrolhasani M, et al . Quality of Health Services of the Islamic Republic of Iran: Status, Barriers and Improvement Strategies. irje 2018; 13 :98-109
URL: http://irje.tums.ac.ir/article-1-5980-en.html
URL: http://irje.tums.ac.ir/article-1-5980-en.html
R Dehnavieh1 
, AA Haghdoost2 , SR Majdzadeh3 , S Noorihekmat4 , H Ravaghi5 , MH Mehrolhasani6 , O Barati7 , H Salari8 , A Masoud9 , A Poursheikhali10 , N Mirshekari11 , S Ghasemi12 , A Esfandiary * 13
, AA Haghdoost2 , SR Majdzadeh3 , S Noorihekmat4 , H Ravaghi5 , MH Mehrolhasani6 , O Barati7 , H Salari8 , A Masoud9 , A Poursheikhali10 , N Mirshekari11 , S Ghasemi12 , A Esfandiary * 13
1- Associate Professor in Health Services Management, Health Services Management Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
2- Professor of Epidemiology, Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4- Assistant Professor of Health Services Management, Social Diterminant of Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
5- Department of health services management, School of Health Management and Information Sciences, Iran university of medical sciences, Tehran, Iran
6- Associate Professor in Health Services Management, Medical Informatis Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
7- PhD in Health Services Management, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
8- PhD in Health Policy, Assistant professor, Bushehr University of Medical Sciences, Bushehr, Iran
9- PhD Student in Health policy, Social Determinant of Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
10- PhD by Research Student in Futures Studies in Health, Health Services Management Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
11- Master of Health Technology Assessment, Medical Informatics Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
12- PhD Student in Health Policy, Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
13- PhD in Health Policy, Assistant Professor, Bushehr University of Medical Sciences, Bushehr, Iran ,atefehesfandiari88@gmail.com
2- Professor of Epidemiology, Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4- Assistant Professor of Health Services Management, Social Diterminant of Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
5- Department of health services management, School of Health Management and Information Sciences, Iran university of medical sciences, Tehran, Iran
6- Associate Professor in Health Services Management, Medical Informatis Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
7- PhD in Health Services Management, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
8- PhD in Health Policy, Assistant professor, Bushehr University of Medical Sciences, Bushehr, Iran
9- PhD Student in Health policy, Social Determinant of Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
10- PhD by Research Student in Futures Studies in Health, Health Services Management Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
11- Master of Health Technology Assessment, Medical Informatics Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
12- PhD Student in Health Policy, Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
13- PhD in Health Policy, Assistant Professor, Bushehr University of Medical Sciences, Bushehr, Iran ,
Abstract: (6840 Views)
Background and Objectives: Universal health coverage will have a problem in achieving it’s goals if it doesn’t consider the quality. This study aimed to Background and Objectives: Universal health coverage cannot achieve it’s goals if it doesn’t consider the quality. This study wants to assess the quality of health services in Iran, identify existing challenges and provide solutions.
Methods: This study was a mixed qualitative and review study. In the first stage, the national main indicators of the quality of services were reviewed. Then, the orientation of the available upstream documents on the quality of services was explained. The most important challenges, trends, and recommendations of health quality improvement were extracted via interviews.
Results: Proper observation of the Iran health care quality requires appropriate framework and indicators. Upstream documents strongly emphasized on the government's responsibility to play a key role as stewardship and that the health system should provide the necessary structural, procedural, and consequential requirements besides determining appropriate model. Quality management programs had obstacles in some aspects like the performance of managers and human resources, structural/communicational requirements, education, payment system, culture, use of quality management indicators and models, financial, information, and equipment resources, laws and regulations, and supervision.
Conclusion: Improving the quality of health services in Iran requires strategies in organizing, resource generation, payment, laws and regulations, and behavior of policy makers and planners. Quality tools should be used without haste and should pay attention changes in the nature of diseases, expectations of stakeholders, and increased global attention to this issue in designing related plans.
Methods: This study was a mixed qualitative and review study. In the first stage, the national main indicators of the quality of services were reviewed. Then, the orientation of the available upstream documents on the quality of services was explained. The most important challenges, trends, and recommendations of health quality improvement were extracted via interviews.
Results: Proper observation of the Iran health care quality requires appropriate framework and indicators. Upstream documents strongly emphasized on the government's responsibility to play a key role as stewardship and that the health system should provide the necessary structural, procedural, and consequential requirements besides determining appropriate model. Quality management programs had obstacles in some aspects like the performance of managers and human resources, structural/communicational requirements, education, payment system, culture, use of quality management indicators and models, financial, information, and equipment resources, laws and regulations, and supervision.
Conclusion: Improving the quality of health services in Iran requires strategies in organizing, resource generation, payment, laws and regulations, and behavior of policy makers and planners. Quality tools should be used without haste and should pay attention changes in the nature of diseases, expectations of stakeholders, and increased global attention to this issue in designing related plans.
Type of Study: Research |
Subject:
General
Received: 2018/07/2 | Accepted: 2018/07/2 | Published: 2018/07/2
Received: 2018/07/2 | Accepted: 2018/07/2 | Published: 2018/07/2
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